Modulation of Vascular Calcification in Chronic Dialysis Patients

NCT ID: NCT03104166

Last Updated: 2020-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-22

Study Completion Date

2019-08-31

Brief Summary

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50 patients will be randomized and treated with MCO or highflux dialysis for six months (24 weeks) after a run-in phase of 4 weeks Highflux treatment.

Serum samples will be drawn at baseline, after 4, 8 and 24 weeks.

Later, calcifiying vascular smooth muscle cells will be incubated with these serum samples and calcification will be assessed with Alkaline phosphatase and Alizarin staining.

Primary endpoint:

In vitro Calcification of coronary vascular smooth muscle cells (Alkaline Phosphatase/ WST8) after six months

Calcifiying vascular smooth muscle cells will be incubated with serum samples obtained after six months of MCO/HF dialysis and calcification will be assessed with Alkaline phosphatase and WST8.

Secondary Endpoints:

Aortic Pulse wave velocity after 6 months Calcification propensity after 6 months Physical activity level after 6 months

Cell culture: Incubation of VSMC with serum samples obtained after 6 months

* Alizarin staining/WST-8
* Measurement of calcification inhibitors Osteopontin and Matrix Gla Protein in Supernatants
* Apoptosis

The treatment regimen of the patients will not be altered, hence blood flow, dialysate flow as well as dialysis time will remain constant.

Detailed Description

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Conditions

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Vascular Calcification

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MCO

Patients will be treated thrice weekly with Medium Cut-Off Dialysis membranes.

Group Type EXPERIMENTAL

Medium Cut-Off (MCO) dialysis membrane

Intervention Type DEVICE

Patients will be treated with a CE-certified dialysis membrane that provide enhanced clearance for middle-sized molecules, call Medium Cut-Off membrane.

High-Flux

Patients will be treated thrice weekly with High-Flux Dialysis membranes.

Group Type ACTIVE_COMPARATOR

High-Flux dialysis membrane

Intervention Type DEVICE

Control: Patients will be treated with a CE-certified High-Flux dialysis membrane.

Interventions

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Medium Cut-Off (MCO) dialysis membrane

Patients will be treated with a CE-certified dialysis membrane that provide enhanced clearance for middle-sized molecules, call Medium Cut-Off membrane.

Intervention Type DEVICE

High-Flux dialysis membrane

Control: Patients will be treated with a CE-certified High-Flux dialysis membrane.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 18 years an older
* Chronic dialysis patients for at least 3 months

Exclusion Criteria

* Serum albumin \<32g/L at the last routine albumin measurement
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charite University, Berlin, Germany

OTHER

Sponsor Role lead

Responsible Party

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Daniel Zickler

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Charité Virchow

Berlin, , Germany

Site Status

Countries

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Germany

Other Identifiers

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ModuVas

Identifier Type: -

Identifier Source: org_study_id

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